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1659017598
MIRZA CONCEPCION GAMBOA
SOMERVILLE, NJ
NPI
1659017598
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NJ 40QA00644000)
Enumeration Date
2022-05-11
Last Update Date
2022-05-11
Business Address
MIRZA CONCEPCION GAMBOA
110 REHILL AVE
SOMERVILLE, NJ 08876-2519
Phone number: 908-595-2388
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Mailing Address
MIRZA CONCEPCION GAMBOA
30 RICHMAR CT
FREEHOLD, NJ 07728-9376
Phone number: 732-489-6604
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